Clinic
The Health and Hospital Corporation of Marion County
The Health and Hospital Corporation of Marion County was paid $8.91M by Medicaid between Jan 2018 and Nov 2024, across 90 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoTHE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
INDIANAPOLIS, IN 46268
INDIANAPOLIS, IN 46268
33aNPI1093054447assigned 02/05/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.91M
24GClaims295,488
24DCodes billed90
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Indiana
Rank by total paid#5 of 156
Median peer was paid$568K
This provider vs. median16×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SCOTT, CHRISTOPHER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,960 | $524K | |
| 2019 | 40,913 | $1.12M | |
| 2020 | 30,160 | $964K | |
| 2021 | 53,474 | $1.73M | |
| 2022 | 57,284 | $1.65M | |
| 2023 | 51,327 | $1.69M | |
| 2024incomplete | 33,370 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 42,969 | 34,240 | $2.31M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 20% | 78,337 | 64,144 | $1.75M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 18,554 | 15,268 | $1.30M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.8% | 6,256 | 5,241 | $515K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.5% | 6,015 | 4,851 | $491K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.5% | 5,460 | 4,593 | $401K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.6% | 36,317 | 28,704 | $319K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 4,115 | 3,362 | $314K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 3,751 | 2,938 | $303K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.5% | 14,472 | 11,714 | $226K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.4% | 7,043 | 5,649 | $213K |
| 59425 | 1.5% | 2,067 | 1,400 | $135K |
78 more codes
| 92015 | Determination of refractive state | <1% | 7,121 | $75K |
| V2020 | Frames, purchases | <1% | 2,024 | $42K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,392 | $34K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 304 | $33K |
| 97803 | <1% | 1,199 | $32K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,336 | $31K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 5,073 | $31K |
| 59426 | <1% | 357 | $30K | |
| G0467 | Community health center visit, returning patient | <1% | 1,292 | $28K |
| 97802 | <1% | 752 | $26K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 452 | $26K |
| 0012A | <1% | 569 | $19K | |
| 0011A | <1% | 597 | $17K | |
| 90837 | Psychotherapy session, about an hour | <1% | 206 | $15K |
| 81025 | <1% | 2,654 | $15K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 362 | $14K |
| 90674 | <1% | 1,077 | $13K | |
| 0002A | <1% | 320 | $11K | |
| 81002 | <1% | 4,943 | $11K | |
| 0072A | <1% | 265 | $10K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 77 | $9K |
| 0001A | <1% | 274 | $9K | |
| 90480 | <1% | 597 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,129 | $7K |
| 83026 | <1% | 2,488 | $6K | |
| 0071A | <1% | 173 | $6K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 184 | $6K |
| 96127 | <1% | 1,338 | $5K | |
| 99188 | <1% | 691 | $5K | |
| 11721 | <1% | 689 | $5K | |
| 90686 | <1% | 14,033 | $5K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 179 | $4K |
| 0124A | <1% | 253 | $4K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 72 | $4K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $4K |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 386 | $3K |
| 92250 | <1% | 189 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,434 | $3K |
| 87428 | <1% | 84 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | $3K |
| 99173 | <1% | 1,420 | $2K | |
| 0052A | <1% | 96 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 48 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 218 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 59 | $2K |
| 90474 | <1% | 213 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 102 | $1K |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 203 | $1K |
| 90670 | <1% | 2,642 | $1K | |
| 86703 | <1% | 376 | $1K | |
| 0004A | <1% | 35 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 12 | $1K |
| 0054A | <1% | 38 | $922.50 | |
| 0064A | <1% | 28 | $893.04 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 24 | $616.29 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 24 | $549.96 |
| 90661 | <1% | 74 | $452.62 | |
| G0433 | Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening | <1% | 39 | $342.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 63 | $322.91 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 68 | $299.15 |
| 90677 | <1% | 138 | $273.85 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 47 | $224.52 |
| 36416 | <1% | 15 | $49.89 | |
| 90685 | <1% | 562 | $4.41 | |
| 90651 | <1% | 1,996 | $0.01 | |
| 90723 | 0% | 1,233 | $0.00 | |
| 90647 | 0% | 1,016 | $0.00 | |
| 91301 | 0% | 432 | $0.00 | |
| 99441 | 0% | 385 | $0.00 | |
| 90620 | 0% | 81 | $0.00 | |
| 90697 | 0% | 282 | $0.00 | |
| 90633 | 0% | 404 | $0.00 | |
| 90734 | 0% | 513 | $0.00 | |
| 90681 | 0% | 235 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 69 | $0.00 |
| 90715 | 0% | 138 | $0.00 | |
| 99442 | 0% | 115 | $0.00 | |
| 91320 | 0% | 55 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSCOTT, CHRISTOPHER (CHIEF CLINICAL OPERATING OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.